HERAA/Herlie Mentor Sign-Up
Email address *
Name *
What are your pronouns (i.e. "She/Her, "They/Them) *
Phone Number *
What is your career field? *
Required
If other, please specify
What is your communication preference?
Clear selection
What is your preferred communication method?
Clear selection
What are some of your hobbies?
What do you hope to get out of the mentor/mentee relationship?
Anything potential mentees should know about you?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Boston University.